Cochrane · systematic review · CD000984
Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in children and adults with overweight or obesity
Flodgren, G, Gonçalves‐Bradley, DC, Summerbell, CD · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
30
current version
GRADE rated
16
No studies
14
Included studies
NR
No studies 14 · 46.7%Ungraded 0 · 0%Very low 2 · 6.7%Low 9 · 30%Moderate 5 · 16.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Intervention targeting health professionals ‐ Educational interventions
Population: Adults with overweight or obesity
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Body weight (kg) at longest | no estimate extracted | 3 studies · 1017 participants | Low Downgraded: risk of bias, inconsistency |
Adverse effects | no estimate extracted | NR | No studies |
Cost | no estimate extracted | NR | No studies |
Interventions targeting health professionals – Tailoring
Population: Adults with overweight or obesity
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Body weight (kg) at the end of study | no estimate extracted | 1 study · 15553 participants | Moderate Downgraded: imprecision |
Adverse effects | no estimate extracted | NR | No studies |
Cost | no estimate extracted | NR | No studies |
Interventions targeting health professionals – Reminders
Population: Adults with overweight or obesity
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Body weight (amount overweight (kg). | no estimate extracted | 1 study · 70 participants | Very low Downgraded: risk of bias, imprecision |
Adverse effects | no estimate extracted | NR | No studies |
Cost | no estimate extracted | NR | No studies |
Interventions targeting health professionals – Clinical decision support tools
Population: Children with obesity
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
BMI z‐score a | no estimate extracted | 1 study · 378 participants | Moderate Downgraded: imprecision |
Adverse effects | no estimate extracted | NR | No studies |
Cost | no estimate extracted | NR | No studies |
Interventions targeting the organisation of care ‐ Introduction of multidisciplinary teams
Population: Adults or children with overweight or obesity
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Body weight (kg) at 12 months | no estimate extracted | 1 study · 182 participants | Low Downgraded: risk of bias, imprecision |
Adverse effects | no estimate extracted | NR | No studies |
Cost per participant ‐ Doctor dietitian versus standard care | no estimate extracted | 1 study · 182 participants | Low Downgraded: risk of bias, imprecision |
Body weight (kg) at 12 months | no estimate extracted | 1 study · 178 participants | Low Downgraded: risk of bias, imprecision |
Cost per participant ‐ Dietitian versus standard care | no estimate extracted | 1 study · 178 participants | Low Downgraded: risk of bias, imprecision |
BMI z‐score | no estimate extracted | 1 study · 105 participants | Low Downgraded: imprecision |
Adverse effects: Health‐related quality of life‐ child report | no estimate extracted | 1 study · 96 participants | Low Downgraded: imprecision |
Adverse effects: Physical appearance/self‐worth, % positive responses d | no estimate extracted | 1 study · 96 participants | Low Downgraded: imprecision |
Adverse effects ‐ Body dissatisfaction (Child Picture Scale 1 ‐ 7) | no estimate extracted | 1 study · 96 participants | Low Downgraded: imprecision |
Cost | no estimate extracted | NR | No studies |
Interventions targeting the organisation of care – Changes in skill mix
Population: Children with obesity
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
BMI change | no estimate extracted | 1 study · 473 participants | Moderate Downgraded: imprecision |
Adverse effects | no estimate extracted | NR | No studies |
Cost | no estimate extracted | NR | No studies |
Interventions targeting the organisation of care – Changes in the setting of service delivery
Population: children and adults with overweight or obesity
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mail vs standard care | no estimate extracted | NR | No studies |
Mean body weight (kg) change at longest | no estimate extracted | 1 study · 1200 participants | Moderate Downgraded: imprecision |
Adverse effects | no estimate extracted | NR | No studies |
Cost | no estimate extracted | 1 study · 1200 participants | Moderate Downgraded: imprecision |
Change in BMI z‐score | no estimate extracted | 1 study · 52 participants | Very low Downgraded: risk of bias, imprecision |